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BUILDING PERMIT APPLICATION
All APPL ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: U (-1 02 i Permit Number: c�;'�o LU CUL pyV ,ax, nFl``r--may= Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Address: Property Tax ID #: 1 310 - /// - O 0 0'? - D d O - I Lot No. Site Plan Name: _ Block No. Project Name: Aev b D e-/.N E M ©ye? s` aL© S`h 116 G G )e cw f"' It G A td b E �?'A.✓D/,►sue $,�,0..•1 °Tw 'F��'t ID6CbV_ New Electrical Meter Second Electrical Meter (Affidavit required) im ONNIMINEM-1 Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator v_"�Roof 2t^' /L Pitch Total Sq. Ft of Construction: B /5► Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name QAVI9 A 8 G D L-I M 0 Address: 8`/ l,9 kusrgJ .e;D City: f'614 T P1,64c e, State: F'L Zip Code: 7 # 1 S1 Fax: Phone N E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: D,eloA eeooz/.1Ps Company:��� Address: '"f '� r A tic City: /c' 2 d Xe4 State: �<- Zip Code: 7 Z 'IV D Fax: Phone No 7 Z tf S3 -7 a 19 E-Mail c,S State or County License C C-C I ,?z & If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SIiPPLIMFNTAL CONSTRUCT'M LIEN LAWINFOWATION, DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested_ permit, l do hereby agree that -I- will, -in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for ts to your property. A Notice of Commencement must be recorded in the public records of St. im�Iendue Luand poste obsite before the first inspection. If you intend to obtain financing, consult Ir an at rn befo commencin work or recording our Notice of Commencement. Signatu of Owner/ Lessee/Co ractor as Agent for Owner STATE OF FLORIDA COUNTY OF --"C:� Sworn to (or affirmed and subscribed before me of Physical Presence or Online Notarization this % day of 202r by Name of person making statement. Notary Public state o� Florida Type of Identification Produced Carmen H Esty Personally Known ) OR Produced Identification Lop o My Commission GG SOS479Expires 98/28/2023 (Signature of Notary Public- State of Flon a ) Commission No. -t 0'6' E1� (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED ev 5120121 Section A (General Information) Master Permit No. - Process No. Contractors Name: K i1� Q �� � A kC)O 10 bLicense # c j Z Cy 5 T Job Address 9 1 S i VJV d ROOF CATEGORY *LOW Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles ❑Asphaltic Shingles ® Metal Panel/Shingles ❑Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 ROOF ROOF TYPE. New roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) ? Steep Sloped Roof Area (SF) 1, OOO Total (SF) g `� Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. ME Section C (Low Slope Roof) Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA") System Manufacturer: PC) LY ( L-./-\ Ss' Product Approval No.: F� 1 S� Z + Design ,Wind Pressures, From RAS 128 Or Calculations: Zone 1''�� Zone 1 ` Zone 2 '�� ne 3: q5 Max. Design Pressure, from the specific product approval system: —q-7 . S Deck: ) � Type: / ". � L -Y t) 11 Gauge Thickness: ) �� " Slope: 117- Anchor/Base Sheet & No. df Ply(s): 5 S Anchor/Base Sheet Fastener/Bonding Material: -5 -IF- 1&119HEa_eP Insulation Base Layer: tJ A Base Insultation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): W A Base Sheet Fastener/Bonding Material: Ply Sheet(s)' & No. of Ply(s): Ply Sheet Fastener/Bonding Material: Top Ply: S 1i.s— -FA Top Ply Fastener/Bonding Material: t:—,t_-47 A 0NEG�� Surfacing: WH VICI� &RAP V L-A'i" Fastener Spacing for Anchor/Base Sheet Attachment: Zone 1':—" oc @ Lap, # Rows ®_ 1500 ' Zone 1:—" oc @ Lap, # Rows @ woo ' Zone 2:—" oc @ Lap, # Rows 0 "O ' Zone 3:—" oc @ Lap, # Rows @ ' 00 " Number of Fasteners Per Insulation Board: Zone 1': Zone 1: Zone 2: Zone 3 Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterf lashing, Coping, Etc., Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material' Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16.. LAP T P'GZ�M�'� Q2t�-FV L tt" D G rI.JAtc�i �� I �} g N b S (4 A FT. Parapet Height FT. ff l � Mean Roof Height Section D (Steep Slope Roof System) Roof System Manufacturer: — Notice of Acceptance Number: L L I A IV C-16F E, 2 q � Z 3, o 2- 2_ -1- Minimum Design Wind Pressures, If Ap licable (From, RAS 127 or CaIjQuIations): Zone 1:��Zone 2eX;_,7b Zone fn one 2r:iKY_one 3e:-Zone 3r: Type Underlayment -T A, Roof 51,7, N7' 2_ Insulation: Fire Barrier: RidgeVentillation? Fastener Type & Spacing: 10 0 C V —PA r4*7 t_.5. Adhesive Type: (�o A U 11 f11A I I Mean RoofHelight: Roof Covering: e-rA L Type & Sias Drip 9- x Z. JS7 Edge: V L'L " 056 WAILCP 2- 1f b A V C, E_